{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T23:55:14Z","timestamp":1784332514984,"version":"3.55.0"},"reference-count":35,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T00:00:00Z","timestamp":1707264000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003758","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa e ao Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico do Maranh\u00e3o","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003758","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To analyse the content of the nursing diagnosis ineffective peripheral tissue perfusion in patients with diabetic foot.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A methodological study with a quantitative approach was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The analysis was performed between January and May 2021 by 34 nurses with clinical\/theoretical\/research experience with diabetes or nursing diagnoses. These nurses evaluated the relevance, clarity and precision of 12 diagnosis\u2010specific etiological factors, 22 clinical indicators and their conceptual and operational definitions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>All 12 etiological factors analysed were considered relevant to diagnostic identification. However, five showed inconsistencies regarding the clarity or precision of the operational definitions, requiring adjustments. Regarding the 22 clinical indicators evaluated, all of them presented a Content Validity Index (CVI) that was statistically significant. However, in the indicators, the colour does not return to lowered limb after 1\u2009min of leg elevation, and cold foot had Content Validity Index (CVI) &lt;0.9 regarding relevance and accuracy of operational definitions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Twelve etiological factors and 22 clinical indicators were validated. Thus, this study revealed new and relevant aspects characterising peripheral perfusion in patients with diabetic foot that have not yet been clinically validated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for Nursing Practice<\/jats:title><jats:p>This study contributes to support the professional practice of nurses through the early identification of etiological factors and clinical indicators in persons with diabetic foot. As a proposal, we suggest the inclusion of new defining characteristics and related factors for the nursing diagnosis ineffective peripheral tissue perfusion in the NANDA\u2010I taxonomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Impact<\/jats:title><jats:p>The research highlights new and relevant aspects such as etiological factors and clinical indicators to characterise peripheral perfusion in patients with diabetic foot. Based on these findings, clinical validation is recommended to confirm the relevance of the proposed elements in the population studied for greater reliability and improved diagnostic assessment for the professional practice of nurses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Reporting Method<\/jats:title><jats:p>EQUATOR guidelines were adhered to using the GRRAS checklist for reporting reliability and agreement studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>No patient or public contribution.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.17063","type":"journal-article","created":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T11:34:09Z","timestamp":1707305649000},"page":"3991-4004","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Content analysis of the nursing diagnosis of ineffective peripheral tissue perfusion in patients with diabetic foot"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3683-4969","authenticated-orcid":false,"given":"Lorrany","family":"Fontenele\u00a0Nascimento","sequence":"first","affiliation":[{"name":"Department of Medicine University Federal of Maranh\u00e3o  Imperatriz, Maranh\u00e3o Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0876-3996","authenticated-orcid":false,"given":"L\u00edvia","family":"Maia\u00a0Pascoal","sequence":"additional","affiliation":[{"name":"Department of nursing University Federal of Maranh\u00e3o  Imperatriz Maranh\u00e3o Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5867-8023","authenticated-orcid":false,"given":"Marcos Ven\u00edcios","family":"de Oliveira\u00a0Lopes","sequence":"additional","affiliation":[{"name":"Department of nursing University Federal of Cear\u00e1  Fortaleza, Cear\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6105-1886","authenticated-orcid":false,"given":"Marcelino","family":"Santos\u00a0Neto","sequence":"additional","affiliation":[{"name":"Department of nursing University Federal of Maranh\u00e3o  Imperatriz Maranh\u00e3o Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4763-2537","authenticated-orcid":false,"given":"Francisca Aline","family":"Arrais\u00a0Sampaio\u00a0Santos","sequence":"additional","affiliation":[{"name":"Department of nursing University Federal of Maranh\u00e3o  Imperatriz Maranh\u00e3o Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7757-8183","authenticated-orcid":false,"given":"Ana Cristina","family":"Pereira\u00a0De\u00a0Jesus\u00a0Costa","sequence":"additional","affiliation":[{"name":"Department of nursing University Federal of Maranh\u00e3o  Imperatriz Maranh\u00e3o Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7840-7642","authenticated-orcid":false,"given":"Floriacy","family":"Stabnow\u00a0Santos","sequence":"additional","affiliation":[{"name":"Department of nursing University Federal of Maranh\u00e3o  Imperatriz Maranh\u00e3o Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,7]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1590\/2177\u20109465\u2010EAN\u20102017\u20100208"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/2047\u20103095.12395"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1891\/9780826125453"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1590\/1413\u201081232018241.35052016"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3269"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.33361\/RPQ.2022.v.10.n.25.545"},{"issue":"1","key":"e_1_2_12_8_1","first-page":"3","article-title":"Prevalence of changes in liver enzymes related illness non\u2010alcoholic liver fat in patients with diabetes mellitus","volume":"44","author":"Caxamb\u00fa A. 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